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A Multicenter Survey on the Trend of Chest CT Scan Utilization: Tracing the First Footsteps of COVID-19 in Iran

Radmard, A.R. and Gholamrezanezhad, A. and Montazeri, S.A. and Kasaeian, A. and Nematollahy, N. and Molaee Langrudi, R. and Javad Rashid, R. and Dehghan, A. and Hekmatnia, A. and Shakourirad, A. and Pezeshki Rad, M. and Nafisi Moghadam, R. and Sharifian, H. and Enhesari, A. and Aalinezhad, M. and Jamalipour Soufi, G. and Shakibafard, A. and Mohammadzadeh, M. and Jalli, R. and Bakhshayeshkaram, M. and Faghihi Langroudi, T. and Raoufi, M. and Abrishami, A. and Dehghan, P. and Bahrami-Motlagh, H. and Hashemi, H. and Sanei Taheri, M. (2020) A Multicenter Survey on the Trend of Chest CT Scan Utilization: Tracing the First Footsteps of COVID-19 in Iran. Archives of Iranian medicine, 23 (11). pp. 787-793.

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Abstract

BACKGROUND: Chest computed tomography (CT) scan has been used widely to diagnose COVID-19 in Iran. OBJECTIVES: To trace the footsteps of COVID-19 in Iran by exploring the trend in using chest CT scans and its economic impact on radiology departments. Methods: In this cross-sectional study, the number of imaging examinations from 33 tertiary radiology departments in 9 large cities of Iran was collected from September 23, 2019 to March 20, 2020 (Months 1 to 6) and the corresponding months in 2018-2019. RESULTS: A 50.2 increase was noted in the chest CT scan utilization in 2019-2020 compared to 2018-2019. This increase was +15, +15, +27, +2, +1 in Months 1-5 of 2019-2020, respectively. In Month 6 of 2019-2020, a 251 increase in the acquisition of chest CT scans was observed compared to the Month 6 of 2018-2019. Following negative balance of revenue from Month 1 to 5 with respect to the inflation rate, the total income in Month 6 was further 1.5 less than the same Month in 2018-19. CONCLUSION: The observed peak in chest CT utilization in Month 3 prior to the surge in Month 6 could be explained by the seasonal influenza. However, unawareness about an emerging viral disease, i.e. COVID-19, might have underutilized chest CT in Months 4 and 5 before the official announcement in Month 6. The unbalanced increase in the workload of radiology departments in the shortage of cardiothoracic radiologists with the simultaneous decrease in income initiated a vicious cycle that worsened the economic repercussions of the pandemic. © 2020 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Item Type: Article
Additional Information: cited By 0
Subjects: پرتو شناسی WN
سیستم تنفسی WF
بیماریهای واگیرWC
میکروب شناسی وایمنی شناسی QW
مقالات نمایه شده محققین دانشگاه در سایت ,Web of Science ,Scopus
Divisions: معاونت تحقیقات و فناوری
Depositing User: GOUMS
Date Deposited: 16 Dec 2020 11:01
Last Modified: 16 Dec 2020 11:01
URI: http://eprints.goums.ac.ir/id/eprint/10874

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